Most Relevant Information
Provider Data
| NPI Number: | 1003591736 |
| Provider Name: | ALEXA LEE ST LAURENT |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R246940 |
Most Important Dates
| Enumeration Date: | 06/20/2023 |
| Last Updated: | 09/30/2023 |
Provider Practice Location
2024 WEST ST STE 400
ANNAPOLIS
MD
214013552
Practice Location Phone/Fax
| Phone: | 4102247667 |
| Fax: | 4102247007 |
Provider Mailing Location
2024 WEST ST STE 400
ANNAPOLIS
MD
214013552
Provider Mailing Phone/Fax
| Phone: | 4102247667 |
| Fax: | 4102247007 |